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The needs of dementia patients
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Journal 1 Today was our first day at the nursing home, and wasn't as bad as I thought it was going to be. My resident is in room number 6 bed 2. There is a do not resuscitate is place for her, she is a very sweet lady that doesn't need help with a lot of things such as eating. Showers are only one Wednesdays and Saturdays today I gave her a bed bath. Starting with her top half everything looked fine and normal until I started peri-care. As I'm washing her we talked about her Thanksgiving and family. She told me she has a daughter and 3 grandsons which includes a pair of twins that are 7. Anyways her legs are contracted so try to wipe the peri area was a little harder. I also notice she had a cover on decubitus ulcer I think. The cna Shamoy helped me along the way. The resident could reposition by herself which helped me also. …show more content…
For breakfast she ate waffles, grits with 5 sugars, eggs, and bacon but she didn't need help with her feeding. As my resident was eating her breakfast, I went to help Sariah with her resident in room number 6. I helped make her bed while she at breakfast in the kitchen and then we brought her in the room to brushed her teeth. Once we finished with her resident everything was good. My resident finished her breakfast, so we made an occupied bed. The sheets didn't fit properly on her bed we struggled a little but eventually we got everything figured
Within the U.S. Healthcare system there are different levels of healthcare; Long-Term Care also known as (LTC), Integrative Care, and Mental Health. While these services are contained within in the U.S. Healthcare system, they function on dissimilar levels.
Sarah should first assess what type of tasks the LPN has experience doing, is comfortable doing, and her normal routine on the postpartum unit. She should explain to the LPN the normal routine or pace on the med-surg floor and determine if the LPN has any questions regarding the flow. Sarah and the LPN should both meet with the nursing assistant so they may become acquainted and encouraged to work as a team. This would also allow for Sarah to advise the LPN of what tasks the nursing assistant usually completes and assists her with. Sarah should then show the LPN around the floor, the rooms she will be assigned to, and where the medical and general
Pay special attention to the face and hands, take the time to remove crusts of secretions from the eyes, nose, and mouth. The cleansing of the body includes perineal care and removal of the IV and catheter if they are present.The resident receives a new gown and new bed linens after their bath is complete. The draw sheet placement changes, meaning it is vertical instead of horizontal, so it is easier to move the resident onto the gurney. After replacing the sheets, the step of adding dentures per families request and placing a rolled towel under the chin to support the jaw to keep it closed before rigor mortis sets in. Next, closure of the eyes to the best of the Certified Nursing Assistant's ability and then combing of any stray hairs using warm water to keep them down if needed. After preparation of the resident, the next step is positioning, adjustment of the bed includes positioning it so that it is flat with the resident's arms placed straight at his or her sides. The resident's arms should lay outside of the blanket at each side of the
The hygienist was a very nice woman. She did express her concerns about the amount of student volunteers that make their rounds through the office day in and day out. She mentioned that having a well versed staff in essential to an
Community is an essential part of the existence of human being. The term community may be describe in so many forms. However, Yiu (2012) define community as a group of people, who live, learn, work, and play in an environment at a given time; they have unique characteristics and interest; function in a social system that meets their needs, such as an organization, a region, a province or a nation (p. 213).
The purpose of this clinical journal entry is to elaborate on the details of lab day three. On lab day three, we had check-off for blood pressure and apical pulse. In addition, we took a safety test, and learned about mobility, immobility, how to use ambulatory devices, and reposition (C#4, C#6).
According to JAMA (The Journal of the American Medical Association) bed sores, also known as pressure ulcers, happen to those who have continued exposer to moisture, like urine or feces and are confined to a bed or wheelchair (Gill, 2003). What happens most of the time is that a nurse has so many patients to take care of that they just do not have the time or they do not care about individual patients. When elderly people complains or gripe about his or her position or the situation they may not have a voice in the matter because the facility is following doctors’ orders. For the most part, patients spend most of the day in their room by themselves, often only checked on during rounds. The elderly are often left to succumb to boredom and depression due to the fact of no companionship. The people who were once active in their community now have to be confined to a small room, and unfamiliar surrounding which can have devastating
This essay will consist of different sources that explain the inappropriate behaviour an emergency Nurse’s response at handover due to a male patient who has been admitted into the Emergency Department in a dishevelled state. As a Registered Nurse assigned to care for this patient when handing over the patient’s care to another Registered Nurse, the nurse responds in an inappropriate manner; stating, ‘I really hate looking after old people – they’re all senile and they smell’. This essay will analyse the attitudes of the nurse and the beliefs that support such comments are improper thus leaving a significant impact on the performance and the nursing care for this patient.
Nursing Home Abuse With over 1.5 million elderly and dependent adults now living in nursing homes throughout the country, abuse and neglect has become a widespread problem. Even though some nursing homes provide good care, many are subjecting helpless residents to needless suffering and death. Most residents in nursing homes are dependent on the staff for most or all their needs such as food, water, medicine, toileting, grooming- almost all their daily care. Unfortunately, many residents in nursing homes today are starved, dehydrated, over-medicated, and suffer painful pressure sores. They are often isolated, ignored, and deprived of social contact and stimulation.
With the aging population growing faster every year many families must make a difficult decision whether their loved ones should live in assisted living or nursing home facilities. I can relate because I made the decision to care for my mother at my home. Some people do not have the money or resources to care for their parent so they must live in a facility for health and safety reasons.
As nurses we owe a duty of care to our patients regardless of their race, status and age. In all our working life, we have to conduct our self in a way that is considered reasonable for someone in our position to do so. Reasonable conduct may be thought of as that which is acceptable, fair, honest, right and proper. However, this duty of care is questioned when it comes to dealing with preserving the autonomy of a person who is suffering from dementia in a nursing home. This research paper will focus on the ethical issues between duties of care vs. autonomy of dementia residents living in an aged care facility.
The aging of the baby boomer generation along with the increasing longevity of life expectancies are evolving the demographics of the United States’ society. Older adults account for a much larger percentage of the population than ever before and it is expected that by 2030, one in every five Americans will be eligible for Medicare (Elder Workforce Alliance [EWA], 2012). As Americans are living longer they are also at a greater risk of chronic illness. This shift commands attention and analysis of our current health care system to better meet the needs of this growing population.
My first patient that I started as student nurse on one of the long Rehab Center was a seventy two year old man who had Clostridium difficile (C.diff), Dementia, Hip replacement, and Obesity. Due to the above sickness he had many complications. I can still remember his face suffering from pain. Because of his lack of ambulation and incontinence, he had developed a very serious pressure ulcer under his sacral area. I went through to the room with my instructor and the instructor introduces me for the patient as his student nurse from Towson University and will taking care of him. However the patient was not happy and he becomes a challenging patient in my first experience day. But I may learned more from that challenging patient for my future experience.
... in caring for the patient. While bed-bathing my patient I used my interpersonal, listening and communication skills. These helped me when I was talking and giving instructions to my patient. I discovered how important communication is in nursing between the nurse and the patient in order to understand each other fo example asking a patient for consent. Moreover, it is during bed-bathing that the nurse and patient can form a therapeutic relationship leading the patient to trust the nurse. During bed-bathing my patient I also checked to see the skin for example bruises and pressure sores. Since communication and listening skills are vital in nursing, I will, therefore, need to improve my skills so I can be a better nurse in the future. Moreover, next time I should not let my feelings get in the way when approaching a similar or same situation like this in the future.
1. In this class, I learned many personal care skills such as peri-care, assisting an individual to eat, dressing, and transferring them using lifts and slings. I faced a few problems while providing peri-care to an individual. In providing peri-care, a person has to clean up the genital area and also to change a diaper of a client. I found it very awkward at first because it was my first experience in my life to provide someone with a peri-care. I faced difficulties while changing the diaper of the client; I was confused which side of the diaper should be up and which should be downward. I also have to take care of not to use the same wipe again and again, also to change the gloves while providing peri-care in order prevent the risk of infection.